title: Anesthetists approach in a neonate with nesidioblastoma undergoing pancreatectomy.
abstract: Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) is rare, but an important cause of hypoglycemia in infants, associated with a number of structural abnormalities of the endocrine pancreas is collectively termed as "Islet cell dysmaturation syndrome." We present the anesthetic management in a clinically diagnosed case of PHHI in a 22 days old full term child, undergoing Subtotal Pancreatectomy. We have discussed the challenges faced in the intra-operative period in managing this neonate for pancreatic resection surgery with focus on intra-operative management of blood glucose levels.
authors.affiliation: Department of Pediatric Anesthesiology, B. J. Wadia Hospital, Parel, Mumbai, India.
authors.forename: Kiran
authors.initials: K
authors.lastname: Patel
authors.forename: Mukta
authors.initials: M
authors.lastname: Shikare
authors.forename: Dilip
authors.initials: D
authors.lastname: Chavan
authors.forename: Pradnya
authors.initials: P
authors.lastname: Sawant
keywords: Anesthesia; neonate; persistent hyperinsulinemic hypoglycemia